مقاله انگلیسی رایگان در مورد کووید-19: کالیبراسیون مدل مکانیکی مداخلات غیر دارویی – الزویر 2021

Highlights

Abstract

Keywords

1. Introduction

2. Methods

3. Results

4. Discussion and conclusions

CRediT authorship contribution statement

Declaration of Competing Interest

References

Abstract

Mathematical models are useful in epidemiology to understand COVID-19 contagion dynamics. We aim to demonstrate the effectiveness of parameter regression methods to calibrate an established epidemiological model describing infection rates subject to active, varying non-pharmaceutical interventions (NPIs). We assess the potential of established chemical engineering modelling principles and practice applied to epidemiological systems. We exploit the sophisticated parameter regression functionality of a commercial chemical engineering simulator with piecewise continuous integration, event and discontinuity management. We develop a strategy for calibrating and validating a model. Our results using historic data from 4 countries provide insights into on-going disease suppression measures, while visualisation of reported data provides up-to-date condition monitoring of the pandemic status. The effective reproduction number response to NPIs is non-linear with variable response rate, magnitude and direction. Our purpose is developing a methodology without presenting a fully optimised model, or attempting to predict future course of the COVID-19 pandemic.

1. Introduction

COVID-19 is currently a global pandemic affecting around 213 countries around the world. As of 31 August 2020, 25.6 million cases, with 17.9 million recovered patients and 859,550 deaths have been reported (Worldometer, 2020). To control the pandemic, most governments have issued recommendations such as intensified hand hygiene and have taken measures such as closing borders, enforcing lockdowns, etc. These NPIs reduce infection rates, keeping the number of severe cases below hospital capacity limit, a strategy popularly referred to as ‘flattening the curve’. A significant challenge is to identify and efficiently evaluate the effect that active and varying NPIs have on the disease transmission rate. This is particularly important as countries begin to relax NPIs after successfully flattening the curve of active cases.

1.1. The effective reproduction number

Key parameters used to quantify contagion are the basic and effective reproduction numbers. These dimensionless numbers describe the average number of expected secondary infections generated by each infected person in the absence and presence of controlled interventions. Current opinion suggests that the COVID-19 has a basic reproduction number ~2–3. Although a recent review (Liu et al., 2020) compared twelve studies published from the 1st of January to the 7th of February 2020 which reported a range of values for the COVID-19 basic reproduction number between 1.5 and 6.68. This apparent disparity arises because the reported number depends on country, culture, the stage of the outbreak and calculation method used. NPIs aim to slow the spread of the virus and reduce the effective reproduction number to a sustained value less than one so that the pandemic will eventually die out. Scientists and governments in many countries around the world use the effective reproduction number as an illustrative metric to explain and justify the introduction and relaxation of NPIs (Fauci et al., 2020).